Chap 28 Key Concepts 3 Flashcards

1
Q

How is the severity pattern for genetic metabolic diseases?

A

Earlier onset are more severe in the degree of damage and pace of illness

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2
Q

What is the inheritance pattern for neuronal storage disorders?

A

Autosomal recessive

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3
Q

What is the characteristic finding for neuronal storage disorders?

A
  • Accumulation of material within neurons and evidence of neuronal death
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4
Q

What is the most common clinical presentation with neuronal storage disorders?

A
  • Seizures and loss of cognitive function
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5
Q

What is the inheritance pattern for leukodystrophies?

A

Autosomal recessive

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6
Q

What is the mechanism of leukodystrophies?

A

Disruption of the synthesis or turnover of myelin components

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7
Q

What is the clinical presentation with leukodystrophies?

A

Motor dysfunctions- spasticity, hypertonia or hypotonia, ataxia

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8
Q

What is the inheritance pattern for mitochondrial encephalomyopathies?

A

Pleiotropic involving neurons and tissues outside of the nervous system

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9
Q

What are the 2 most common vitamin deficiencies that cause neurologic disease?

A

Thiamine and B12 deficiency

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10
Q

What conditions involving metabolic demands cause injury to the CNS?

A

Hypoglycemia, loss of oxygen carrying capacity of hemoglobin with CO toxicity

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11
Q

What part of the brain is most likely injured form chronic alcohol exposure?

A

Anterior vermis of the cerebellum

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12
Q

How can tumors in the CNS arise?

A
  • From cells of the coverings (meningiomas)
  • From the brain (gliomas, neuronal tumors, choroid plexus tumors)
  • From CNS cell populations (primary CNS lymphoma, germ cell tumors)
  • From elsewhere in the body (metastases)
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13
Q

What region of the brain is specific to medulloblastomas?

A

Cerebellum

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14
Q

What region of the brain is specific to central neurocytomas?

A

Intraventricular location

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15
Q

What tumors are associated with the pediatric age group?

A

Medulloblastoma and pilocystic astrocytomas

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16
Q

What tumors are associated with older patients?

A

Glioblastoma and lymphoma

17
Q

What are the subgroups of glial tumors?

A

Astrocytomas, Oligodendrogliomas, and ependymomas

18
Q

What can be associated with increasing tumor malignancy?

A
  • More cytologic anaplasia
  • Increased cell density
  • Necrosis
  • Mitotic activity
19
Q

What is the dominant type of systemic tumor that can metastasize to the nervous system?

A

Carcinomas